| Organization Name: | RED FEATHER THERAPY AND CONSULTING, LLC |
| NPI Number: | 1588956346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN ROBERT STREYLE (CEO - CLINICAL SOCIAL WORKER) |
| Mailing Address: | 2920 East Avenue South Suite 101 Red Feather Therapy And Consulting, Llc Lacrosse |
| State: | WI US |
| Postal Code: | 546014925 |
| Phone Number: | 6087848688 |
| Fax Number: | 6087848686 |
| NPI Enumeration Date: | 05/11/2011 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 2363-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |